<!DOCTYPE html>
<html>
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">
							<div class="form-group">	
								<label class="col-sm-3 control-label">提交日期：</label>
								<div class="col-sm-8">
									<input id="submitDate" name="submitDate" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">流水号：</label>
								<div class="col-sm-8">
									<input id="sn" name="sn" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">提交类型：</label>
								<div class="col-sm-8">
									<input id="businessType" name="businessType" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">申请人：</label>
								<div class="col-sm-8">
									<input id="applier" name="applier" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">软著名称：</label>
								<div class="col-sm-8">
									<input id="softwareName" name="softwareName" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">有无录屏：</label>
								<div class="col-sm-8">
									<input id="hasRecord" name="hasRecord" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">出报告日期：</label>
								<div class="col-sm-8">
									<input id="approvalDate" name="approvalDate" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">业务员：</label>
								<div class="col-sm-8">
									<input id="businessMan" name="businessMan" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">代理公司：</label>
								<div class="col-sm-8">
									<input id="agentCompany" name="agentCompany" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">状态：</label>
								<div class="col-sm-8">
									<input id="status" name="status" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">特殊情况备注：</label>
								<div class="col-sm-8">
									<input id="comments" name="comments" class="form-control" type="text">
								</div>
							</div>
																					<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script type="text/javascript" src="/js/appjs/biz/testreport/add.js">
	</script>
</body>
</html>
